Objective: The objective of this paper was to examine the effect of a mastery modeling, peer centered intevention for prenatal care on the self concept and self efficacy of adolescent mothers and on the incidence of low birthweight infants.
Methods: The prenatal care intervention was conducted in five clinics in Detroit. 282 pregnant adolescents (age 13-20) were randomly assigned to an experimental or a control condition. Both conditions received prenatal care in the same clinics. The experimental group received prenatal care in a group setting. Each participant was assigned a peer partner and performed part of the routine critical measures. The Tennessee Self Concept Scale (TSCS) was used to measure self concept. A new measure of self efficacy was developed for the study. Measures were administered at study intake and in the postpartum period. Definitions of low birthweight of the American Academy of Pediatrics were followed. Statistical methods included t tests and general linear models.
Results: When within group comparisons were performed on self concept, the experimental group increased significantly, while the control group showed no change. Linear models that examined the rates of change between the two groups showed no significant differences. Both groups increased in self efficacy for labor and delivery and decreased in self efficacy for infant and self care after delivery. The incidence of low birthweight infants was significantly lower in the experimental group.
Conclusion: A mastery modeling, peer centered method of delivering prenatal care may improve pregancy outcomes for adolescent mothers.
Learning Objectives: Describe an innovative prenatal care program for adolescent mothers
Keywords: Adolescent Health, Prenatal Interventions
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.